Davis Advantage for Townsend's
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the “fight-or-flight”
response associated with stress adaptation. Which statement
by the instructor is most accurate?
A. “The fight-or-flight response occurs only in psychological
stress.”
B. “The fight-or-flight response prepares the body for perceived
,danger.”
C. “The fight-or-flight response is considered a maladaptive
coping mechanism.”
D. “The fight-or-flight response eliminates the effects of long-
term stress.”
Correct Answer: B
Rationale:
• The fight-or-flight response is a physiological reaction that
prepares the body to respond to perceived threats or
danger.
• Option A is incorrect because the response can occur with
physical or psychological stressors.
• Option C is incorrect because the response is an adaptive
survival mechanism.
• Option D is incorrect because prolonged stress may still
negatively affect health despite activation of the stress
response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A nurse is assessing a client experiencing acute stress after job
loss. Which physical finding is most consistent with activation of
the sympathetic nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Dilated pupils
D. Lowered blood glucose level
Correct Answer: C
Rationale:
• Sympathetic nervous system activation during stress
commonly causes pupil dilation to improve visual
alertness.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because gastrointestinal activity
usually decreases during stress.
• Option D is incorrect because blood glucose levels
generally increase to provide energy.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A client states, “I feel overwhelmed caring for my ill parent, but
I still manage to go to work and pay the bills.” Which concept of
stress adaptation does the nurse recognize?
A. Eustress
B. Maladaptation
C. Transactional stress response
D. Complete ineffective coping
Correct Answer: C
Rationale:
• The transactional model views stress as an interaction
between the individual and the environment, influenced
by personal appraisal and coping abilities.
• Option A is incorrect because the situation reflects burden
rather than positive stress.
• Option B is incorrect because the client continues
functioning adaptively.
• Option D is incorrect because the client demonstrates
some effective coping behaviors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
Psychiatric Mental Health Nursing
11th Edition
Author(s)Karyn Morgan
TEST BANK
Question 1
A nursing student asks the instructor about the “fight-or-flight”
response associated with stress adaptation. Which statement
by the instructor is most accurate?
A. “The fight-or-flight response occurs only in psychological
stress.”
B. “The fight-or-flight response prepares the body for perceived
,danger.”
C. “The fight-or-flight response is considered a maladaptive
coping mechanism.”
D. “The fight-or-flight response eliminates the effects of long-
term stress.”
Correct Answer: B
Rationale:
• The fight-or-flight response is a physiological reaction that
prepares the body to respond to perceived threats or
danger.
• Option A is incorrect because the response can occur with
physical or psychological stressors.
• Option C is incorrect because the response is an adaptive
survival mechanism.
• Option D is incorrect because prolonged stress may still
negatively affect health despite activation of the stress
response.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 2
,A nurse is assessing a client experiencing acute stress after job
loss. Which physical finding is most consistent with activation of
the sympathetic nervous system?
A. Decreased heart rate
B. Increased gastrointestinal motility
C. Dilated pupils
D. Lowered blood glucose level
Correct Answer: C
Rationale:
• Sympathetic nervous system activation during stress
commonly causes pupil dilation to improve visual
alertness.
• Option A is incorrect because heart rate typically
increases.
• Option B is incorrect because gastrointestinal activity
usually decreases during stress.
• Option D is incorrect because blood glucose levels
generally increase to provide energy.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 3
, A client states, “I feel overwhelmed caring for my ill parent, but
I still manage to go to work and pay the bills.” Which concept of
stress adaptation does the nurse recognize?
A. Eustress
B. Maladaptation
C. Transactional stress response
D. Complete ineffective coping
Correct Answer: C
Rationale:
• The transactional model views stress as an interaction
between the individual and the environment, influenced
by personal appraisal and coping abilities.
• Option A is incorrect because the situation reflects burden
rather than positive stress.
• Option B is incorrect because the client continues
functioning adaptively.
• Option D is incorrect because the client demonstrates
some effective coping behaviors.
Source:
Davis Advantage for Townsend's Psychiatric Mental Health
Nursing, 11th Edition — Chapter 1: The Concept of Stress
Adaptation
Question 4
